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Gout, Rheumatoid Arthritis, and the Risk of Death Related to Coronavirus Disease 2019: An Analysis of the UK Biobank
Ruth K Topless1, Amanda Phipps-Green1, Megan Leask2
1University of Otago, Dunedin, New Zealand.
Insights
Rheumatoid arthritis (RA) increases the risk of death from COVID-19, but gout does not. This study analyzed UK Biobank data to assess these risks, finding RA a significant factor for mortality in coronavirus disease 2019 patients.
Area of Science:
- Immunology
- Epidemiology
- Public Health
Background:
- Gout and rheumatoid arthritis (RA) are inflammatory conditions.
- The impact of these conditions on COVID-19 outcomes is not fully understood.
- Assessing these risks is crucial for patient management and public health strategies.
Purpose of the Study:
- To determine if gout and/or RA are risk factors for COVID-19 diagnosis.
- To evaluate if gout and/or RA are risk factors for mortality following COVID-19 diagnosis.
Main Methods:
- Utilized UK Biobank data for a large-scale cohort study.
- Employed multivariable-adjusted logistic regression for association analyses.
- Conducted analyses on COVID-19 diagnosis and mortality risk in relation to gout and RA.
Main Results:
- Rheumatoid arthritis (RA), not gout, was linked to a higher likelihood of COVID-19 diagnosis.
- Neither RA nor gout showed association with mortality risk among COVID-19 patients in a case-control analysis.
- RA independently associated with increased COVID-19 related mortality risk within the broader UK Biobank cohort.
Conclusions:
- Rheumatoid arthritis (RA) is identified as a significant risk factor for death from COVID-19.
- Further research with larger datasets and broader factor inclusion is warranted to validate these findings.
Objectives:
The objectives for this study were to assess whether gout and/or rheumatoid arthritis (RA) are risk factors for coronavirus disease 2019 (COVID-19) diagnosis and to assess whether gout and/or RA are risk factors for death from COVID-19.
Methods:
We used data from the UK Biobank. Multivariable-adjusted logistic regression was employed in the following analyses: analysis A, to test for association between gout and/or RA and COVID-19 diagnosis (n = 473,139); analysis B, to test for association between gout and/or RA and death from COVID-19 in a case-control cohort of people who died of or survived COVID-19 (n = 2059); analysis C, to test for association between gout and/or RA and death from COVID-19 in the entire UK Biobank cohort (n = 473,139).
Results:
RA, but not gout, was associated with COVID-19 diagnosis in analysis A. Neither RA nor gout was associated with risk of death in the group diagnosed with COVID-19 in analysis B. However, RA was associated with risk of death related to COVID-19 by using the UK Biobank cohort in analysis C, independent of comorbidities and other measured risk factors (odds ratio [OR] 1.9; 95% confidence interval CI 1.2-3.0). Gout was not associated with death related to COVID-19 in the same UK Biobank analysis (OR 1.2; 95% CI 0.8-1.7).
Conclusion:
RA is a risk factor for death from COVID-19 by using the UK Biobank cohort. These findings require replication in larger data sets that also allow for inclusion of a wider range of factors.
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